title: Community-AcquiredClostridium DifficileInfection: Awareness and Clinical Implications.
abstract: The epidemiology ofClostridium difficileinfection(CDI)is changing. CDI, usually depicted as a nosocomial infection in the elderly, is now occurring in community-dwelling persons who are younger and otherwise dissimilar. A more virulent isolate (North American Pulsed Field type1(NAP1) associated with increased morbidity and mortality, has been identified. In 2005, similar strains were associated with severe disease in community-dwelling patients at a rate of 7.6/100,000. Screening patients with potential CDI symptoms and implementing preventative measures, including judicious use of antibiotics, can reduce disease burden.
authors.affiliation: University of Texas Medical Branch School of Nursing, 301 University Boulevard, Galveston, Texas 77555-1029, Office: 409-772-4802, , cajuneau@utmb.edu.
authors.forename: Cheryl
authors.initials: C
authors.lastname: Juneau
authors.forename: Elnora Nonie P
authors.initials: EN
authors.lastname: Mendias
authors.forename: Nihas
authors.initials: N
authors.lastname: Wagal
authors.forename: Michael
authors.initials: M
authors.lastname: Loeffelholz
authors.forename: Tor
authors.initials: T
authors.lastname: Savidge
authors.forename: Sharon
authors.initials: S
authors.lastname: Croisant
authors.forename: Sara
authors.initials: S
authors.lastname: Dann